Effect of Ultrasound-Guided Needle Knife Nerve Stimulation Combined with Sinomenine Injection Intervention in the Treatment of Piriformis Syndrome
Objective To explore the effect of ultrasound-guided needle knife nerve stimulation combined with sinomenine injection intervention treatment on patients with piriformis syndrome(PS).Methods Thirty patients with PS who met the criteria were randomly divided into control group and combination group.The control group was treated with celecoxib capsules,mecobalamin tablets and zushima tablets,while the combination group was treated with ultrasound-guided needle knife nerve stimulation combined with sinomenine injection intervention.The pain level,lumbar and dorsal muscle function,pain related neurotrophic factors levels of the two groups were compared.Results Visual analogue scale scores of both groups decreased at 5 and 10 days after treatment,and the combined group was lower than the control group(P<0.05).The Japanese Orthopaedic Association scores of both groups increased at 5 and 10 days after treatment,and the combined group was higher than the control group(P<0.05).The expressions of 5-hydroxytryptamine and prostaglandin E2 were decreased in both groups,and the combined group was lower than the control group(P<0.05).Conclusion Ultrasound-guided needle knife nerve stimulation combined with sinomenine injection can reduce pain of patients with PS,reduce the release of pain related factors,improve lumbar and dorsal muscle function.
piriformis syndromesinomenine injectionultrasound guided needle knife nerve stimulation surgery